Individual
AUTUMN N BREAZILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4242 FARNAM ST STE550, OMAHA, NE 68198-1428
(402) 836-9900
Mailing address
988437 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-8437
(402) 559-9604
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
2901
NE
Other
Enumeration date
10/25/2022
Last updated
02/14/2024
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